Post-traumatic intrahepatic pseudoaneurysm: diagnosis with helical CT angiography and management with embolization.
The authors report a case of liver trauma with hematoma complicated with a pseudoaneurysm. The latter was suspected on day 7, with a monophasic helical CT and was demonstrated with helical CT angiography. Arteriography confirmed the lesion and showed an associated arteriovenous fistula, unsuspected on helical CT. The pseudoaneurysm was managed with transcatheter embolization, completed with percutaneous embolization because of vascular spasm.
Galeon
M
M
Department of Medical Imaging, Cliniques Universitaires St-Luc, Brussels.
Goffette
P
P
Van Beers
B E
BE
Pringot
J
J
D000063:Accidents, Traffic; D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D000792:Angiography; D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology; D002406:Catheterization, Peripheral / Q000295:instrumentation; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D008099:Liver / Q000293:injuries*; D009339:Needles; D011169:Portal Vein / Q000293:injuries; D011856:Radiographic Image Enhancement; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014661:Vasoconstriction
D003287:Contrast Media